Provider Demographics
NPI:1699833558
Name:STINSON, CELEST ANN RIGGS (NP)
Entity Type:Individual
Prefix:MRS
First Name:CELEST
Middle Name:ANN RIGGS
Last Name:STINSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:CELEST
Other - Middle Name:ANN
Other - Last Name:RIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1718 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2926
Mailing Address - Country:US
Mailing Address - Phone:615-346-8546
Mailing Address - Fax:615-346-8547
Practice Address - Street 1:275 W MACARTHUR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5641
Practice Address - Country:US
Practice Address - Phone:510-752-1000
Practice Address - Fax:510-535-4128
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF15906363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner